Provider Demographics
NPI:1679446074
Name:MELTZER, KAREN
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:MELTZER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:KARIE
Other - Middle Name:
Other - Last Name:MELTZER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD
Mailing Address - Street 1:7 41ST AVE
Mailing Address - Street 2:
Mailing Address - City:SAN MATEO
Mailing Address - State:CA
Mailing Address - Zip Code:94403-5105
Mailing Address - Country:US
Mailing Address - Phone:650-542-9699
Mailing Address - Fax:
Practice Address - Street 1:3260 ASH ST
Practice Address - Street 2:
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94306-2239
Practice Address - Country:US
Practice Address - Phone:650-542-9699
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-24
Last Update Date:2025-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA36172103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist